Consultant Dermatologist with Surgical & MOHS Interest Kent & Canterbury Hospital 344-MED9718SDK

Consultant Dermatologist with Surgical & MOHS Interest Kent & Canterbury Hospital 344-MED9718SDK

Dear candidate, Welcome to East Kent Hospitals University NHS Foundation Trust. We are a pioneering Trust, on an exciting journey of healthcare transformation, with awardwinning research and innovation, and a strong team ethos. We re looking for positive clinical leaders who want to help us deliver first-class patient care to a fascinating and complex population and be part of something special. We provide the full range of district general hospital services, and some regional specialities, including the country s best performing trauma unit and robotic surgery. The William Harvey Hospital in Ashford, and Queen Elizabeth, The Queen Mother Hospital in Margate, are east Kent s district general hospitals, while Kent & Canterbury Hospital in Canterbury is a specialist services hub which provides adult medical care, inpatient renal, urology and vascular services. Our new hospital in Dover, the Buckland, and Royal Victoria Hospital, Folkestone, provide a variety of outpatient, diagnostic and minor injury services, alongside a range of services throughout the local area. As you would expect from a large teaching Trust, we prize training doctors, nurses and other health professionals and work closely with local universities and King s College, University of London. We are working closely with a nationally-renowned vanguard to drive pioneering local care, and have a clear clinically-led strategy to transform secondary care in east Kent from next year to deliver outstanding standards of care across all specialties. We support clinicians who see opportunities to make tertiary care available locally for our population, and we have a strong research ethic, being the highest recruiter to research studies in the county. Our vision is great healthcare from great people, and we are proud of what we have achieved to date for our population and are excited about what s to come. If you would like to be part of this exciting journey, your rewarding work-life will be complemented by the advantages of living in the Garden of England, with a choice of rural, seaside and picturesque places to enjoy and live in, alongside the essentials like excellent schools and easy access to London and Europe. The Trust has strong links with the two local Universities and already has joint appointments with both Universities including Professorial appointments. Both Universities have submitted an exciting joint bid for the development of a Kent & Medway Medical School which if successful will see the development of the school begin by 2019. The Trust is happy to consider support for research, education and development of doctors within the Trust. One of the largest acute trusts in England, we have a predicted turnover of 540 million for 2015/16. We serve a population of 759,000 people, employ 7,950 staff and have 1,100 beds across three main acute hospital sites. We achieved Foundation Trust status in 2009. If you think this could be the start of something special, please apply as quickly as possible using the electronic application form on the NHS Jobs website, because we will close the advert for this job once we ve received sufficient applications. If you have a disability or long-term health problem, we are committed to offering reasonable adjustments throughout the recruitment process and employment. If you would like more information or support, please contact the Resourcing Team on 01227 866450 or resourcing@nhs.net, who will be happy to help. Yours faithfully, Matthew Kershaw, Chief Executive

Our vision, mission and values Our vision is: Great healthcare from great people Our vision is deliberately simple but sums up what we want to achieve for every patient every day. Our mission is: Together we care: improving health and lives Our mission statement explains why we exist what East Kent Hospitals is here to do. Our values are: Our values describe what s important to us and what we want it to feel like to work and be treated here. Our priorities are: Patients We want to enable all our patients (and clients who are not ill) to take control of all aspects of their healthcare by 2021. People We want to identify, recruit, educate and develop a talent pipeline of clinicians, healthcare professionals and broader teams of leaders, skilled at delivering integrated care and designing and implementing innovative solutions for performance improvement. Provision We want to clearly identify what business we are in, what we want to be known for and what our core services are. We need to provide the right services and do it well. Partnerships We want to define and deliver sustainable services and patient pathways together with our health and social care partners, by 2021. You can find out more about what we do on our website at www.ekhuft.nhs.uk and view our organisational structure charts here.

Job Description THE SPECIALIST SERVICES DIVISION Divisional Director: Divisional Medical Director: Divisional Head of Nursing: Patricia Hubbard Dr El-Hussein Rfidah Elizabeth Mount The Specialist Service Division formed in April 2011, bringing together the five clinical specialties of Renal, Womens Health, Child Health, Dermatology, and Cancer, Clinical Haematology and Haemophilia. The Specialist Services Division is unique in that the five distinct specialities are all different and diverse services that are now working together within a common framework. The Division is based across several Trust sites, as well as other sites within the local community. SUMMARY This is a full time 10PA consultant dermatology post with activity based mainly at the Friends Dermatology Centre within the Kent and Canterbury Hospital (KCH) in Canterbury. East Kent has a highly regarded, active, established surgical and Mohs micrographic surgery service that has been developed over many years with leading UK dermatologic surgeons at the helm. An energetic and enthusiastic colleague with an interest in skin cancer and skin surgery is being sought, although a general dermatology clinic is also included in the work program. The proposed candidate will have the opportunity to train in Mohs micrographic surgery with Dr Andrew Birnie whilst already working as a consultant dermatologist in our team. East Kent Hospitals University NHS Foundation Trust (EKHUFT) has undertaken a major expansion of the Dermatology Department with increased manpower in recent years to cope with the rising workload and delivering care in the community. The successful candidate will join a team of three consultants and will allow our department to offer an excellent service for patients in the East Kent area. We are also in the process of recruiting a 10 PA medical dermatology post bringing the Consultant numbers to five. The department has a generous and progressive approach to CPD and supports active involvement with educational, national, dermatology and NHS enhancing initiatives and events. THE DERMATOLOGY DEPARTMENT The Dermatology Department provides dermatology services at five sites across the region; there are three main sites: Kent and Canterbury Hospital in Canterbury (K&C) William Harvey Hospital in Ashford (WHH)

The Queen Elizabeth the Queen Mother Hospital in Margate (QEQM) Outpatient clinics are also held at Dover (Buckland Hospital) and Folkestone (Royal Victoria Hospital). The service is provided using a Hub-and-spoke model with the hub being based at the Friends Dermatology Centre in the Kent and Canterbury hospital. The consultants work together, supported by 6 specialty doctors and a team of nurses which includes 5 Specialist Nurses and a dedicated phototherapy team. The post holders will complete a team of 3 consultant dermatologists: THE HUB The hub of the service is in the Friends Dermatology Centre (FDC) at the Kent and Canterbury Hospital in Canterbury. This department opened in September 2006 and offers dedicated facilities for outpatient clinics, dermatological surgery (including Mohs surgery the Mohs Lab is scheduled to be enlarged and upgraded in February 2017), phototherapy, rapid access skin cancer clinics (TUSCC), office space for clinical and secretarial staff, management, MDT and the secretarial base. The Contact dermatitis/patch test service is also based at the hub in Canterbury. The Dermatology Matron supervises 5 specialist dermatology nurses. There are also a number of dedicated outpatient dermatology nurses. Patients who need hospital admission are cared for under a shared care agreement with colleagues from the Urgent Care & Long Term Conditions Division.. Paediatric dermatology clinics take place within the Paediatric Ambulatory Unit (Childrens Assessment Centre, KCH) and Dr Duarte-Williamson, supported by a Specialist Registrar and Speciality Doctor; has developed good links with the paediatrics department. There is a multidisciplinary vulval dermatoses clinic. The skin cancer MDT (combined Local Skin LSMDT and specialist MDT Specialist Skin SSMDT) is held weekly. There is a dedicated MDT room with video links between the three main hospital sites (K&C, WHH and QEQM). There is an excellent supporting dermatopathology service at WHH with dedicated dermato-pathologists. Plans for the future include: a Mohs Fellowship, the provision of further day-care facilities, nurse led service expansion, extended opening Telephone/email hot-line for GP colleagues; improved teaching facility for all disciplines; extension of phototherapy provision across the sites. SUB SPECIALIST INTERESTS Each of the consultants has a sub-specialist interest: All the consultants offer general dermatology clinics; Dr Birnie specialises in cancer management and dermatological surgery, including Mohs micrographic surgery. Dr Birnie is the surgical and education lead.

Dr Ayerst is a generalist with interests in skin cancer management and male genital dermatoses; he is also the chair of the Skin Cancer MDT. Dr Duarte-Williamson undertakes the clinics for biologics and immunosuppressant therapies and she sub-specialises in paediatric dermatology. She also is the clinical lead for the service. In addition, Dr Reckling specialises in contact dermatitis and occupational aspects of skin disease and Dr Sands leads on vulval dermatoses with a visiting GUM Consultant supporting her. THE SPOKES Dermatology clinics and minor surgical procedures are provided at the spoke hospitals. At QEQM and WHH, the larger acute hospitals, narrow band UVB run by dermatology nurses is provided and all are supported by dedicated dermatology secretaries. The post holder will have secretarial support and access to a PC. SPECIALIST REGISTRARS We have 2 specialist registrars on a shared rotation with the neighboring Medway Trust. This forms part of the KSS Deanery. NURSING The nursing team, Phototherapy team and specialist nurses are led by Tracy Anderson, Dermatology Matron. Tracy is also responsible for monitoring and maintaining care standards as dictated at Trust and national level and for managing a patient focused service. Nurse specialists provide clinics for management of patients with chronic skin conditions, systemic monitoring, cancer follow up, paediatric dermatology, biologic therapies and phototherapy. One of the nurse specialists is a non-medical prescriber. The department has nurses competent in minor surgery, providing biopsy facilities allowing the department to provide an excellent see and treat facility. We are looking to create a Band 8a surgical nurse practitioner role. Karen MacKinnon and Kim Peate are our dedicated skin cancer CNSs and are supported by the nurse specialists in providing care for patients diagnosed with a skin tumour. Staff Consultant Staff Dr Emilia Duarte-Williamson, Clinical Lead Dr Kurt Ayerst Dr Andrew Birnie

Non-Consultant Staff Speciality Doctor Dr Christine Reckling Dr Kathleen Sands Dr Asha Rajeev Dr Sandra Varga Dr Elizabeth Julian Dr Yasir Mirza Site Canterbury Canterbury and Margate Canterbury and Margate Canterbury and Folkestone Canterbury and Ashford Canterbury and Dover Non-Consultant Staff Specialty Registrars Dr Siao Pei Tan Post currently vacant Site Canterbury and Ashford Canterbury Nursing/Support Staff Name Tracy Anderson Marcia Ruddock Karen MacKinnon Valerie Ellis Heather Bennett Karen Goddard Kim Peate Role Matron Specialist Nurse (Surgical) Specialist Nurse (Skin Cancer) Specialist Nurse (Skin Cancer) Phototherapy Sister Specialist Nurse Specialist Nurse (Skin Cancer) The Trust hosts medical students on attachment from GKT and St George s, Grenada Medical Schools and final year medical students regularly attend the dermatology department for Special Study Modules. The department provides placements for 2 nd year Nursing students from Canterbury Christ Church University and also facilitates learning placements for nurses undertaking post graduate courses. Duties of the post It is expected that the successful applicant will play an active part in the development of the innovative dermatology service, developing strong links with our primary care

colleagues. The post holder will work closely with the dermatology team in delivering inpatient and outpatient dermatology services to the local population. Specific duties are a combination of outpatient clinics and surgery sessions with weekly MDT and monthly joint clinic attendance. PA to SPA ratios vary between 8.5:1.5 and 8:2 depending on additional commitments. Clinical PAs are divided between fixed clinical sessions and clinical administrative/travel/other requirements. It is anticipated that during the Mohs training period the two PAs for Mohs surgery will be a combination of SPA and direct clinical care and will in addition to the standard clinical sessions of a dermatology consultant. This post will function very much like a Mohs fellowship, but will have the added advantage of coming with all the benefits of being a substantive consultant. Ward referrals at the hospitals are undertaken by all the dermatology staff. The general responsibilities of the post will be those expected of a senior clinical employee of the Trust. These include provision of a first class clinical service, effective leadership to all staff involved in supporting the service, conducting clinical practice in accordance with the highest ethical standards, co-operation with and maintenance of confidentiality over business plans and development strategies within the Trust, support for other clinical specialties and contribution to postgraduate teaching. The appointee will be expected to deliver a service covering all aspects of dermatology, but a special interest to complement those of the existing consultants would be encouraged. The Trust has a formal induction program and mentoring is in place to support newly appointed consultants. The Job Plan will include mandatory attendance and contribution to the weekly Skin Cancer MDT at one of the main hospitals which are all video-linked (K&C, QEQM, WHH). The MDT is supported by an MDT co-ordinator and a skin cancer specialist nurse. There is a monthly business meeting where all consultants, nurses, managers are invited to attend. The development of the department and future plans are discussed at this meeting which is chaired by the Clinical Lead. Other responsibilities include: Junior staff: Recruitment, appointment and educational supervision including educational contracts, regular appraisal, organisation of study leave, annual leave and rotas Budget: Co-operate with the Divisional Medical Director and Divisional Director on budget issues Communication: This will include responsibility for and arrangement of: - Communication and liaison with all other medical and service departments within the hospital including: General Management, Medical Records, and Social Work Department - Communication with General Practitioners will include telephone discussion of problems and writing of letters about cases seen in the department - Communication with other hospitals and special departments in other hospitals

Teaching: Junior doctors and medical students, nurses and other paramedical staff in the team in speciality and special interest Non-Emergency Work in Premium Time: The Trust will require you, in line with service needs to undertake non emergency work during premium time. On Call Arrangements: There is no on-call requirement as part of this post. The duties and responsibilities in this job description may need further discussion in the future to ensure that they continue to meet the needs of the service, future service developments and the post holder.

EXECUTIVE STRUCTURE Board of Directors Clinical responsibility OPERATIONS/CLINICAL STRUCTURE

Patient Safety, Clinical Governance, Education and Training The Trust is fully committed to improving patient safety and experience. Consultants are expected to comply with GMC guidance and all Clinical Risk Management processes. They must audit their own clinical outcomes, report clinical incidents, alert the trust to risk, participate in annual appraisal and work to foster good team relationships. It is expected that the appointee will plan a programme of personal development and continuing medical education and through the appraisal process ensure that adequate training is undertaken both to maintain their skills, knowledge and expertise and to ensure revalidation. There is extensive local support and the Trust provides reasonable costs for formal study leave. An annual review of the job plan will take place between the Divisional Medical Director/Clinical Lead and the Consultant in accordance with the arrangements in the new contract. This will include discussions regarding the needs of the service, with agreement of objectives for clinical standards, goals and workload. Each of the three main hospital sites has a well-equipped multi-disciplinary Education Centre, including internet facilities and a library. Each runs full programmes of educational meetings. The Trust is designated as an Associate University Provider NHS Trust for undergraduate education. Doctors in Training are recruited to the Trust from London medical schools on matching schemes. All Consultants have responsibilities for teaching doctors, students and non-medical healthcare professionals, and should ensure they use the time allowed in their working week for duties of teaching and supervision. New Consultants are required to enrol on the Deanery Certificate of Teaching programme within the first 12 months of appointment. All Consultants should include some element of educational development within their personal development plan, using at least one half day per year of their external study leave to this end. Research and Innovation The Trust wishes to make a difference to the experience and outcomes of health care to the people of Kent, the NHS and internationally through Research, Enquiry and Innovation" and we have an ambitious strategy to deliver this vision from 2016 to 2020. You can read more about our approach to research on our website. We are one of the most research-active acute Trusts in the Kent, Surrey and Sussex region, with over 120 NIHR CRN Portfolio studies open to recruitment across more than 20 specialty areas, with at least 15 new industry funded/sponsored studies opening each year. All newly appointed Consultants are encouraged to take on the role of Principal Investigator and considerable training and support is available. Trust clinicians are also actively supported in developing their own research ideas and participate in local, regional & international academic collaborations. We have been awarded research funding ( 100k to 2m) by NIHR (RfPB and HTA), MRC, Pfizer and other major funding bodies in recent years. The Trust also has internal

funding schemes to assist researchers, including those without previous experience, to gain pump-priming monies for individual projects, or to support individual sessional research time. We have a strategic alliance with University of Kent s KentHealth, and have active collaborations between the Trust and all our local universities (UoK, Canterbury Christ Church University (CCCU) and Medway School of Pharmacy) as well as many other UK and international partners. A number of staff hold joint University-Trust appointments, including Centre for Health Services Studies at UoK, and the England Centre for Practice Development at CCCU with its expertise in sustainable transformation and development. The Trust wishes to increase the number of joint appointments, and applicants who have commensurate research experience are invited to contact Dr Tim Doulton, Director of Research and Innovation. Infection Control In accordance with the Health Act (2006) all staff are expected to comply with National and local Infection Control policies and procedures, and any other related infection prevention policies or procedures. In addition, all staff whose normal duties are directly or indirectly concerned with patient care should ensure they have received annual mandatory training (including hand hygiene). It is expected that all Consultants will lead by example in this area which receives maximum attention. Summary Terms and Conditions of Appointment The post will be appointed to under the Terms and Conditions of Service for Hospital Medical and Dental Staff as amended from time to time. The post-holder is required to be fully registered with the General Medical Council and on the Specialist Register or eligible for inclusion on the Specialist Register within six months of the date of interview. The appointee will be required to reside not more than 30 minutes away from their main base, unless specific approval is given by the Chief Executive and Medical Director. The post-holder's private residence shall be maintained in contact with the public telephone service. The passing of a medical examination is a condition of employment. Every Consultant must adhere to the Trust policies and procedures including documentation of all activity both in outpatients and theatre. Any Consultant, who for personal reasons is unable to work full-time will be eligible to be considered for this post; if such a person is appointed modification of the job content will be discussed on a personal basis in consultation with the Divisional Medical Director. Salary The Consultant salary scale is currently 76,761 rising to 103,490 per annum (pro rata where applicable).

Annual leave The annual leave entitlement is six weeks and two days and applications are subject to approval by the Divisional Medical Director. A minimum of eight weeks notice of leave arrangements is requested so that adequate cover arrangements can be made. Annual leave entitlements increased for consultants with seven or more years of completed service with effect from 1 April 2005 by an additional 2 days. Study leave Study leave is available according to local agreements. All clinical staff are required to give eight weeks notice. Removal Expenses Where a practitioner intends to claim reimbursement of removal or associated expenses, it is important that he/she first obtains a copy of the Trust's policy on removal expenses and should discuss the proposals with the Resourcing department prior to taking up duty. Visiting Arrangements Further details and information may be obtained by contacting Dr Andrew Birnie Dermatology Surgical Lead on (01227 783191) or alternatively Nicola Lindsey, Operations Manager on 01227 868646. Candidates who are shortlisted for interview will be expected to attend a site visit as part of the selection process. Details on how this can be arranged will be sent to you with your invitation to interview.

Person Specification Criteria Group Essential Desirable Measurement/ Testing method Wide knowledge and Existing surgical Application Form Experience experience in Dermatology. skills. Interview Skills Full GMC Registration CCST Specialist Registration or will obtain within 6 months of interview date or equivalent experience Minimum of English Level 2 (GCSE grade C or equivalent), ILETS, or graduate of a UK Medical School The ability to converse at ease with customers and provide advice in accurate spoken English is essential for the post Application Form and evidence bought to interview Values and Welcoming and polite Commitments People feel cared Respect people and their dignity for as individuals Attentive and helpful Respect others time Speak up on behalf of those who can t Values and Consistently safe Commitments Vigilant about safety People feel safe, Reassuringly professional reassured and Listen and clearly involved communicate Work as a team Values and Delivers the best Commitments outcomes People feel Take responsibility confident we are Be a leader making a Appreciate good work difference Always improving our selves/services Other Most roles require travel across sites. Candidates must be able to demonstrate the ability to Interview Application Form Interview Application Form Interview Application Form and evidence bought to interview

travel effectively between sites Upholds and models the Trust values

Additional Terms and Conditions Summary Confidentiality Data Protection Risk Management Infection Control Equal Opportunities Safeguarding Children Safeguarding Adults The Post holder must maintain the confidentiality of information about patients, staff and other health service business in accordance with Trust Policy. The post-holder, for the purposes of the Data Protection Act 1998, consents to the processing of all or any personal data including sensitive personal data as defined under the Data Protection Act 1998 (in manual, electronic or any other form) relevant to their employment, by the Trust and/or any public body or any other third party as nominated by the Trust for the purposes of audit and bound by a duty of confidentiality. The post holder will ensure compliance with the Trust s risk management policies and procedures. These describe the Trust s commitment to risk management, the recognition that our aim is to protect patients, staff and visitors from harm, and stress that all staff have a responsibility to minimise risk. In accordance with the Health Act (2006) all staff are expected to comply with National and local Infection Control policies and procedures and any other related infection prevention policies or procedures. In addition all staff who s normal duties are directly or indirectly concerned with patient care should ensure they have received annual mandatory training (including hand hygiene). The post holder will treat all colleagues, service users and members of the public with respect and dignity regardless of their gender, age, race, colour, religious beliefs, religion, nationality, ethnic origin, social background, sexual orientation, marital status, disability, real or suspected HIV/Aids status, criminal background and Trade Union status. The Trust has Policy for Equality and it is the responsibility of all staff to ensure that this is implemented. Everyone employed by the Trust regardless of the work they do has a statutory duty to safeguard and promote the welfare of children. When children and/or their carers use our services it is essential that all concerns for the safety and welfare of children and young people are both recognised and acted on appropriately. You have a responsibility to ensure you are familiar with and follow the Safeguarding Children procedures and the Trust s supplementary Safeguarding Children Policy which is accessed electronically on the Trust's Intranet site. You have a responsibility to support appropriate investigations either internally or externally. To ensure you are equipped to carry out your duties effectively, you must also attend Safeguarding Children training and updates at the competency level appropriate to the work you do and in accordance with the Trust's Safeguarding Children Strategy. Everyone employed by the Trust regardless of the work they do has a duty to safeguard and promote the welfare of vulnerable adults. When patients and/or their carers use our services it is essential that all protection concerns are both recognised and acted on appropriately. You have a responsibility to ensure you are

familiar with and follow Trust policies in relation to safeguarding vulnerable adults. You have a responsibility to support appropriate investigations either internally or externally. To ensure you are equipped to carry out your duties effectively, you must also attend vulnerable adult protection training and updates at the competency level appropriate to the work you do and in accordance with the Trust's vulnerable adult protection training guidance Health & Safety Professional and NHS Codes of Conduct Financial Management and Control of Resources Mandatory Training No Smoking All staff must be aware of the responsibilities placed on them by the Health & Safety at Work Act (1974) to ensure that the agreed safety procedures are carried out to maintain a safe condition for employees, patients and visitors. You are required to act at all times in accordance with the relevant professional Codes of Conduct and Accountability (including, where applicable, those for Board Members). In addition, all management staff must comply with the Code of Conduct for NHS Managers and Standards of Business Conduct for NHS staff. All staff are responsible for the security and the property of the Trust, avoiding loss or damage, and being economical and efficient in the use of resources. Staff are required to act in accordance with the rules and regulations as described in the Trust s Policy Relating to the Financial Management and Control of Resources. All staff are required to attend mandatory training as designated by the Trust. East Kent Hospitals University NHS Foundation Trust has a no smoking policy. Staff are not permitted to smoke within or on Trust premises Please note that these terms and conditions are subject to change and may differ from your proposed contract should you be successful in your application.

Outpatient s Ward Work Patient Admin Theatre Pre/Post Op Assess Travel Total (hrs) Teaching/ Superv Gen Admin Med Ed CPD Mgt / meetings Research/ Audit Total (hrs) PROPOSED JOB PLAN Work Timetable Direct Clinical Care Supporting Professional Activities Session Description Mon am Mohs Training with Dr Birnie 4 4 Mon pm Mohs Training with Dr Birnie 4 4 Tues am K&C Urgent Skin Cancer Clinic 4 0.5 4.5 Tues pm Patient Admin/Ward referrals 1 3 4 Wed am Wed pm K&C Surgical List 1 4 5 Thurs am Thurs pm K&C Urgent Skin Cancer Clinic Local (1:4) or London (1:4 academic Meetings BAD/RCP etc Consultants meeting (1:4) 4 4 0.25 0.5 0.25 1 1 0.5 0.5 1 1 4 Fri am WHH Outpatient clinic 4 4 Fri pm WHH Surgical List 1.5 MDT 4 5.5 Sat Sun Total hours (basic) 32 Total hours (basic) 8

Predictable on-call: Unpredictable on-call: Total hours (premium) TOTAL PAs 8 0 Total hours (premium) 0 TOTAL PAs Please note: All job plans for new consultant appointments must total 10 Programmed Activities maximum including predictable and unpredictable on-call. 2